HomeMy WebLinkAboutR 2017-475-E Finance - Child Care Services Association - Outside Agency Performance Agreement DocuSign Envelope ID: 1A43D806-0D44-4AC1-898C-3042FDBCA241
ORANGE COUNTY-DEPARTMENT USE ONLY
Department
Party/Vendor Name: Child Care Services Association Party/Vendor Contact Person: Sue Russell Contact Phone:
919-967-3272 Party/Vendor Address: 1829 East Franklin Street Bldg 1000 City Chapel Hill State: NC Zip: 27514
Department: Finance & Administrative Services Amount: 5250 Purpose: FY 2017-18 Outside Agency Performance
Agreement Budget Code(s): 10495050719073 Vendor # 804576 (N/A if new vendor) Vendor is a BOCC
consultant? Yes ❑ No Contract Type: (Check one) New ® Renewal ❑ Amendment ❑ Effective Date
7/1/2017 Approved by Board Yes No Agenda Date: 6/20/2017
This agreement is approved as to technical s''4%-liEhCl nt:
Department Director's Signature Date: 8/31/2017
181ACC1409...
Information Technologies
(Applicable only to hardware/software purchases or related services)This agreement has been reviewed and is
approved as to information technology content and specifications:
Office of the Chief Information Officer Date:
Risk Management
This agreement is approved for sufficiency of insur ecatartjeletras,specifications, and requirements:
aMtSA. £ Y1A,t 6 9/5/2017
Office of the Risk Management Officer Date:
FBer9176810498...
Financial Services
This instrument has been pre-audited in the man r r& the Local Government Budget and Fiscal Control Act:
aw- 8/31/2017
Office of the Chief Financial Officer Date:
7o4E5181ACriA09
Legal Services
This agreement is approved as to legal form ands rciGlll{ gned by:
t UAL Aunt, 1 SCb 9/5/2017
Office of the County Attorney 079Aan95cfF4FR Date:
Clerk to the Board
Received for record retention:
All Docusign contracts must be copied to Donna Lloyd upon completion @ Dolloyd @orangecountync.gov
The following signature block is for hard copies only and is not required for Docusign contracts:
Office of the Clerk to the Board Date:
(Child Care Services Association)
Orange County Outside Agency Performance Agreement Page 7 of 10
Rev. 7/17